Annual Report 2010 by the National Preventive Mechanism against Torture human resources include 377 doctors, 583 registered nurses (DUEs) and 440 junior nurses, as well as 114 health professionals from different fields (pharmacists, laboratory and X-ray technicians, orderlies and physiotherapists). It is considered At present, the only prisons visited that provide remote healthcare services are important to develop a Albocásser (Castellon), Madrid II in Alcalá de Henares and Morón de la Frontera remote medical care service (Seville), whereas at Villabona (Asturias) the SGIP is holding talks on this matter with the health department of the Principality of Asturias. Along these lines, it is deemed important to develop these services in order to partially alleviate the difficulties that often arise when transferring inmates to hospitals and when summoning health service specialists to the prisons. According to the information provided, the SGIP has organised several working sessions to boost these services and has set up a working party accordingly in tandem with certain autonomous communities. The infirmaries at 340. The infirmaries at the modern prisons have facilities that are on a par with the modern prisons are on any public health centre and are furnished with modern medical equipment a par with any public health centre. The situation at the older ones is more varied (dentist’s chair, x-ray room, blood analysis equipment, etc.). The older ones, however, are very varied, although most of them fulfil the minimum requirements in this matter, with the following exceptions: Albacete, Alicante-Cumplimiento (where it often happens that given the lack of free beds some inmate patients spend the whole day in the infirmary and then return to their blocks to sleep) and Nanclares de la Oca (Alava), whose infirmary is a former juveniles block that has been refurbished and does not meet sanitary requirements in the most satisfactory way. On a more positive note on the other hand, there is the infirmary at Alicante II in Villena, which has a gym for physiotherapy rehabilitation. Overall, the closed prisons have more than 2,000 beds in infirmaries, according to data provided by the SGIP for 2009, added to which are the ones available at the secure hospital units (UCH), which are referred to in section 6.1 in this report. The lack of suitable 341. Especially serious is the general lack of suitable psychiatric care for inmates. psychiatric care for inmates The prisons visited do not have a psychiatrist amongst their staff, which means is especially serious. General concern expressed by all the medical staff at the prisons that this care is provided by public health service psychiatrists or by hiring outside consultants, who visit the prison with varying frequencies, ranging from once a week to once a month. Regarding this matter, emphasis should be placed on the concern generally expressed by the medical staff at the prisons about the growing problem mental health poses for inmates, which has led to the implementation of a specific programme for mental healthcare called PAIEM (Framework programme of comprehensive care for mental health patients). It is therefore considered necessary to increase the frequency of the psychiatric and psychological care provided for inmates. 142 THE OMBUDSMAN OF SPAIN

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