general observations in connection with inspections a placement in isolation was not deemed necessary, gave the Parliamentary Ombudsmen the impression that the staff at the detention centre in Kållered had decided, from the outset, to put the detainee is a safety placement with the Prison and Probation Service. A placement within the prison service means a more perceptible restriction to freedom for the detainee than if he or she were placed in a detention unit. According to the Parliamentary Ombudsmen, the coercion exercised against a detainee should be as mild as possible and, in principle, resemble a staircase where a restriction of the freedom of movement and isolation should precede a safety placement. In order to facilitate such a scrutiny, the detention units must have access to suitable areas for isolation placements.70 According to the authority’s procedures, staff from the Migration Agency must visit detainees in security placements within the prison and remand prison service. There is no statutory obligation for the authority to reconsider such a decision. The Parliamentary Ombudsmen has previously asked for such regulations and has encouraged the Migration Agency to ensure, while awaiting an amendment, that the guidelines for visits to remand centres are adhered to and to ensure that there are procedures for how the conditions for a review are to be investigated.71 During the inspection of the detention centre in Gävle, it was established that there are still uncertainties regarding these matters. It also emerged that there were no central instructions for the Migration Agency or any local written procedures for carrying out visits to remand prisons.72 During the inspection of the detention centre in Kållered, it was established that the authority had produced such procedures. The Parliamentary Ombudsmen stated that the procedures needed to be supplemented with a description of the situations in which a visit to a remand prison can be cancelled.73 Since there are still no legal provisions on the obligation to review decisions on safety placements, the Parliamentary Ombudsmen sent a copy of the inspection report to the Ministry of Justice. Access to medical care County councils must also offer aliens held in detention, and who have reached 18 years of age, care that cannot be deferred, as well as maternity welfare. County councils must also, unless deemed unnecessary, offer aliens kept in detention a health examination as soon as convenient. On previous occasions, the Parliamentary Ombudsmen has stressed the importance of having medical staff at the detention centre and actively working on the issue of entitlement to health care. The CPT has also recommended that Sweden take 70 Ref. no. 1000-2017. 71 JO 2011/12 p. 314, Ref. no. 6090-2009. 72 Ref. no. 4831-2016. 73 Ref. no. 1000-2017. 43 The detention centres must have access to suitable areas for isolation placements. The Parliamentary Ombudsmen has previously requested an amendment to the law on the obligation to review decisions on safety placements, and urged the Migration Agency to ensure, while awaiting an amendment, that guidelines for visits to remand prisons are adhered to and to ensure that there are procedures for how the conditions for a review are to be investigated.