ANNUAL REPORT 2019-OMBUDSMANNATIONAL PREVENTIVE MECHANISM ment of sick persons in the Institution, individual assessment of the need to use tying means must always be made. This also applies in cases where convicts are being transported from the Arresting Unit to one of the clinics within the Clinical Centre, because the escort of sick convicts with handcuffs, depending on the situation, can be considered humiliating and degrading. 3.4.5. Overview of given recommendations Prior to the preparation of this Annual Report, no responses were received from the Idrizovo Penitentiary and the Directorate for Execution of Sanctions, due to which the following represents an overview of the recommendations given: Raview no.33 Overview of recommendations given to the Arresting Unit - KPD Idrizovo Proper equipping and regular maintenance of the rooms in order to protect them from destruction or damage, and in order for them to be able to meet the conditions necessary for accommodation of sick convicts; To take special care of the type of hygiene products given to convicts, due to the danger of abuse and possible poisoning, especially of convicts who manifest suicidal behaviour or have made such allegations; To install a special call or signalling system in emergency rooms in hospital rooms; The presence of prison police officers during medical examinations should be only in those cases when the doctor explicitly requests such a thing and only on the basis of previously made individual assessments of the need for it, that is, in cases of high security risk; Convicts should only be treated by a medical professional; Urgent steps should be taken to replace prisoners who perform the duties of a nurse with qualified healthcare staff, and in this regard the management of the Idrizovo Penitentiary should contact the competent authorities to ensure constant healthcare for convicts during their stay in the Arresting Unit, respecting the principle of medical confidentiality; Provision of appropriate transport vehicles in accordance with the required standards for transport of convicted persons with health problems; During the transfer, as well as at the reception of the clinics, the convicts should be handcuffed only on the basis of individual risk assessment, and not in all cases when the persons are escorted from prison to hospital, as well as when they are accompanied during their examinations at the Clinical Centre in Skopje; 138